Civic Intelligence

Texas Children'S Health Plan the Center

EIN 46-1392824 • 501(c)3 • Bellaire, TX

Profile

To create a healthier future for children and women throughout our global community by leading in patient care, education, and research.

6330 West Loop South 1300Bellaire, TX 77401

www.jointhecenter.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

94th percentile

1.00x

Higher debt load relative to assets than 94% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

20th percentile

0.08x

Higher debt load relative to revenue than 20% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

35th percentile

0.0%

Higher net margin than 35% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

98th percentile

$2,487,080

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 6.0% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Asset Growth

1st percentile

-92%

Faster asset growth than 1% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

2nd percentile

-68%

Faster revenue growth than 2% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Assets

Down

$3,243,499

Down $35,336,444 (-92%) from 2023

Liabilities

Down

$3,243,499

Down $8,848,152 (-73%) from 2023

Net Assets

Down

$0

Down $26,488,292 (-100%) from 2023

Revenue

Down

$41,679,608

Down $89,635,118 (-68%) from 2023

Expenses

Down

$41,679,608

Down $89,635,118 (-68%) from 2023

Net Income

Flat

$0

Flat from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$60M$40M$20M$0Assets 2012: $1Liabilities 2012: $02012Assets 2013: $10,628,744Liabilities 2013: $2,778,710Net Assets 2013: $7,850,0342013Assets 2014: $32,711,589Liabilities 2014: $8,353,025Net Assets 2014: $24,358,5642014Assets 2015: $36,480,695Liabilities 2015: $10,039,840Net Assets 2015: $26,440,8552015Assets 2016: $35,419,475Liabilities 2016: $8,931,183Net Assets 2016: $26,488,2922016Assets 2017: $36,180,944Liabilities 2017: $9,692,652Net Assets 2017: $26,488,2922017Assets 2018: $35,225,301Liabilities 2018: $8,737,009Net Assets 2018: $26,488,2922018Assets 2019: $35,364,236Liabilities 2019: $8,875,944Net Assets 2019: $26,488,2922019Assets 2020: $39,249,119Liabilities 2020: $12,760,827Net Assets 2020: $26,488,2922020Assets 2021: $56,669,032Liabilities 2021: $30,180,740Net Assets 2021: $26,488,2922021Assets 2022: $34,626,316Liabilities 2022: $8,138,024Net Assets 2022: $26,488,2922022Assets 2023: $38,579,943Liabilities 2023: $12,091,651Net Assets 2023: $26,488,2922023Assets 2024: $3,243,499Liabilities 2024: $3,243,499Net Assets 2024: $02024

Highlighted filing

2024

Assets$3,243,499
Liabilities$3,243,499
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$150M$100M$50M$0-$50MRevenue 2012: $0Expenses 2012: $0Net Income 2012: $02012Revenue 2013: $6,673,389Expenses 2013: $6,673,389Net Income 2013: $02013Revenue 2014: $47,103,344Expenses 2014: $47,211,327Net Income 2014: -$107,9832014Revenue 2015: $69,172,641Expenses 2015: $69,064,658Net Income 2015: $107,9832015Revenue 2016: $96,191,818Expenses 2016: $96,191,818Net Income 2016: $02016Revenue 2017: $121,679,237Expenses 2017: $121,679,237Net Income 2017: $02017Revenue 2018: $132,730,454Expenses 2018: $132,730,454Net Income 2018: $02018Revenue 2019: $138,385,337Expenses 2019: $138,385,337Net Income 2019: $02019Revenue 2020: $122,964,649Expenses 2020: $122,964,649Net Income 2020: $02020Revenue 2021: $140,709,226Expenses 2021: $140,709,226Net Income 2021: $02021Revenue 2022: $131,473,817Expenses 2022: $131,473,818Net Income 2022: -$12022Revenue 2023: $131,314,726Expenses 2023: $131,314,726Net Income 2023: $02023Revenue 2024: $41,679,608Expenses 2024: $41,679,608Net Income 2024: $02024

Highlighted filing

2024

Revenue$41,679,608
Expenses$41,679,608
Net Income$0

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 14, 2025
Return Version
2024v5.1
Gross Receipts
$41,679,669
Mission and Program Overview

Mission

To create a healthier future for children and women throughout our global community by leading in patient care, education, and research.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$6,019,619$0▼ $6,019,619
Land, Buildings, and Equipment, Net$3,321,107$0▼ $3,321,107
Prepaid Expenses and Deferred Charges$2,097,333$0▼ $2,097,333
Accounts Receivable$0$1,366,015▲ $1,366,015
Savings and Temporary Cash Investments$17,732,177$4,687▼ $17,727,490
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors-$0-
Total Assets$34,626,316$3,243,499▼ $31,382,817
Other Assets Total$5,456,080$1,872,797▼ $3,583,283
Liabilities
Deferred Revenue$3,447,261$0▼ $3,447,261
Other Liabilities$485,651$3,126,407▲ $2,640,756
Accounts Payable and Accrued Expenses$4,205,112$117,092▼ $4,088,020
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property-$0-
Unsecured Notes Loans Payable-$0-
Escrow Account Liability-$0-
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$8,138,024$3,243,499▼ $4,894,525
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$26,488,292$0▼ $26,488,292
Total Net Assets Fund Balance$26,488,292$0▼ $26,488,292
Total Liabilities and Net Assets / Fund Balance$34,626,316$3,243,499▼ $31,382,817

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$1,872,797--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Jessica V FleischerBoard Assistant Secretary through 7/8/24--$131,391$131,391
Jennifer L Dalton Msn RnDirector of Ambulatory ServicesPT$83,533$40,346$123,879
Huan FengClin Lead I, Adv Pract ProvPT$68,007$37,646$105,653
Jennifer a ArchieAsst Clin Director Nursing In-PatPT$29,810$22,640$52,450
Alexandria WilliamsNurse Practitioner-$4,643$5,895$10,538

Board Members and Trustees

NameTitle
Michael a Belfort Md PhdBoard Member & Chair through 11/7/24
Debra F SukinBoard Member, Chair & President of MSCI as of 11/8/24
Daniel R DipriscoPresident of MSCI through 11/7/24
Lara S Shekerdemian MdBoard Member & Vice Chair through 11/7/24
Jodi HarrisAssistant Vice President
Lance a LightfootFormer Officer / Senior Vice President Through 8/6/24
Michael MurphySenior Vice President
Amanda R WilliamsBoard Assistant Secretary as of 11/7/24
Bradley S MorrillBoard Assistant Secretary through 11/6/24
C Park ShaperBoard Member as of 11/8/24
Joseph a Cleary JrBoard Member as of 11/8/24
Tym TombarBoard Member as of 11/8/24
James T Versalovic Md PhdBoard Member through 11/7/24
Jeffrey S Shilt MdBoard Member through 11/7/24
Aisha JamalBoard Secretary through 10/11/24
Ivett T ShahFormer Key Employee
Afsheen S DavisSecretary as of 10/12/24

Highest Paid Contractors

ContractorServicesLocationCompensation
Baylor College Of MedicinePhyscn & Faculty Svc1 Baylor Plaza, Houston, TX 77030$7,097,287
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$40,923,297
Investment Income
$756,311
Other Revenue
$0
Change in Net Assets
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$37,562,057
Salaries, Compensation, and Employee Benefits$4,117,551
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$6,393,245$552,299$0$6,945,544
Other Salaries and Wages$2,726,038$228,990-$2,955,028
Depreciation Depletion$1,018,241--$1,018,241
Other Employee Benefits$590,475$50,475-$640,950
Pension Plan Contributions$243,181$20,754-$263,935
Payroll Taxes$233,458$24,180-$257,638
Insurance$135,886$77,450-$213,336
Occupancy$94,890--$94,890
Office Expenses$6,625$59,954-$66,579
Information Technology$10,151$26,257-$36,408
Travel$13,153$1,615-$14,768
Conferences and Meetings$624$5,895-$6,519
Other Expenses$3,011$792-$3,803
Total Functional Expenses$40,258,689$1,420,919$0$41,679,608
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees-$0-
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Federal Income Taxes$3,126,407
Due to Affiliates-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 15 Process used to establish compensation

Compensation for the organization's top management official and other officers and key employees is paid by texas children's hospital, a related tax exempt organization. Because the organization's top management official and other officers and key employees are not paid by the filing organization, questions 15a and 15b have been answered no accordingly.

Form 990, Part VI, Line 4 Significant changes to organizational documents

The organization changed its name from texas children's health plan - the center to main street community initiatives on 11/08/2024.

Form 990, Part VI, Line 6 Classes of members or stockholders

Texas children's health plan is the sole corporate member of main street community initiatives.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

Texas children's health plan, as the sole member corporation, has the authority to elect the board of directors of the organization.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

Per the organization's bylaws the member has certain reserved powers: -approve, interpret or change the purpose of the corporation. -fix the number of directors and appoint or remove, with or without cause, any director of the corporation. -approve the merger, dissolution or consolidation, or reorganization of the corporation. -approve the acquisition, sale, lease, transfer or other alienation of property of the corporation, other than in the usual and regular course of the corporation's business, when such acquisition, sale, lease, transfer or other alienation is above specified financial levels set in accordance with policies established from time to time by the member. -approve capital and operating budgets of the corporation. -adoption or amendment of salaries or other compensation (including the awarding of any incentive compensation) of the officers of the corporation, physician employees of the corporation, if any, and physicians who are independent contractors to the corporation, if any. -approve debt incurred by the corporation, which is in excess of such limits as are established by the member. -approve the disposition of assets of the corporation at the time of its dissolution. -approve any long-range financial and strategic plans for the corporation. -selection of the corporation's auditors and legal counsel. -creation or sale of any subsidiaries of the corporation. -any affiliation, joint venture, contract, employment, retention, indemnification, or other arrangements between the corporation and any insurer, health maintenance organization, preferred provider organization, medical school, hospital, clinic, pharmacy, physician, texas children's health plan affiliate, or other provider of health or related services, including, without limitation, all service terms and compensation arrangements. -establishment by the corporation of any training or residency program. -the giving, seeking, or receiving of grants. -adoption or amendment of any indemnification rights, obligations, or agreements affecting the corporation. -purchase, adoption, amendment, cancellation, or replacement of any insurance coverage for the corporation or its directors, officers and agents, as well as copies of any notices of cancellation received by the corporation. -the commencement of litigation or the settlement of litigation or other claims. -approval of the adoption or amendment of fee schedules relating to patient services. -designation of additional or successor member(s). -take any action which would be consistent with the governing documents or policies of the member.

Form 990, Part VI, Line 8B Documentation of meetings held by committees of governing body

No such committees exist.

Form 990, Part VI, Line 11B Review of form 990 by governing body

Per a resolution approved by the member's board of trustees, the member board's audit, compliance, & risk committee has delegated authority to review the organization's completed Form 990 prior to filing. Following the audit, compliance, & risk Committee's review and approval, the completed Form 990 is shared with the members of the organization's board of directors and board of trustees prior to filing with the IRS.

Form 990, Part VI, Line 12C Conflict of interest policy

The organization consistently monitors and enforces the conflict of interest policy through two separate processes, one that applies to the board members, and a second that applies to officers and key employees. 1) board members: per the organization's board-approved conflicts review process, responses to the annual conflicts questionnaire are reviewed by the member's board leadership and presented to the member's audit, compliance, & risk committee. If the committee deems there are any significant issues, the responses are then reviewed by the member board's executive committee and any required action (recusement from board deliberations related to the conflict, etc.) is taken in accordance with the organization's board-approved code of conduct. 2) officers / key employees: per the organization's board approved conflicts review process, responses to the annual conflicts questionnaire are reviewed by the compliance services department. If the department deems there are any significant issues, required action is taken in accordance with the organization's board-approved code of conduct and the board is notified of such actions.

Form 990, Part VI, Line 19 Required documents available to the public

The governing documents, conflict of interest policy and financial statements are made available upon request.

Filing and Contact Details

Filer

Filer Name
Main Street Community Initiatives
EIN
46-1392824
Phone
8328242918
Address
6330 West Loop South 1300, BELLAIRE, TX 77401

Signing Officer

Name
Weldon Gage
Title
Executive Vice President & CFO
Phone
8009908247
Signed
2025-11-14
Discuss with paid preparer
Yes

Organization Details

Formed
2008
Legal Domicile
TX
Voting Board Members
4
Independent Board Members
3
Employees
142
Volunteers
0

Preparer

Firm
Crowe Llp
Address
4801 Olympia Park Plaza Suite 4000, Louisville, KY 40241-2098
Preparer
Rachel Spurlock
Phone
5023263996
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G Other Fees

Healthcare professional services - Total Expense: 6945544, Program Service Expense: 6393245, Management and General Expenses: 552299, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Transfer of net assets to related entities - -26488292; Total - -26488292;

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IRS990/Form990PartVIISectionAGrp/TitleTxt0Board Member, Chair & President of MSCI as of 11/8/24
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IRS990/Form990PartVIISectionAGrp/TitleTxt2Board Member & Chair through 11/7/24
IRS990/Form990PartVIISectionAGrp/TitleTxt3Board Member as of 11/8/24
IRS990/Form990PartVIISectionAGrp/TitleTxt4Board Member through 11/7/24
IRS990/Form990PartVIISectionAGrp/TitleTxt5Board Member through 11/7/24
IRS990/Form990PartVIISectionAGrp/TitleTxt6Board Member as of 11/8/24
IRS990/Form990PartVIISectionAGrp/TitleTxt7Board Member as of 11/8/24
IRS990/Form990PartVIISectionAGrp/TitleTxt8Secretary as of 10/12/24
IRS990/Form990PartVIISectionAGrp/TitleTxt9Board Secretary through 10/11/24
IRS990/Form990PartVIISectionAGrp/TitleTxt10Board Assistant Secretary as of 11/7/24
IRS990/Form990PartVIISectionAGrp/TitleTxt11Board Assistant Secretary through 11/6/24
IRS990/Form990PartVIISectionAGrp/TitleTxt12President of MSCI through 11/7/24
IRS990/Form990PartVIISectionAGrp/TitleTxt13Board Assistant Secretary through 7/8/24
IRS990/Form990PartVIISectionAGrp/TitleTxt14Former Officer / Senior Vice President Through 8/6/24
IRS990/Form990PartVIISectionAGrp/TitleTxt15Senior Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt16Nurse Practitioner
IRS990/Form990PartVIISectionAGrp/TitleTxt17Clin Lead I, Adv Pract Prov
IRS990/Form990PartVIISectionAGrp/TitleTxt18Asst Clin Dir Nursing In-Pat
IRS990/Form990PartVIISectionAGrp/TitleTxt19Director of Ambulatory Services
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